Lingual haematoma leading to upper airway obstruction

Hing, NR; Bowler, M.D.; Byth, P. L.; Daly, Christopher

doi:10.1016/0266-4356(85)90002-6

Cited by 26 publications

(19 citation statements)

References 10 publications

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“…Extensive hemorrhage from the lingual artery may occur following traumatic injury [4][5][6][7]. Hemorrhage into the tongue has been reported after the use of streptokinase, heparin, tissue-type plasminogen activator administration and in hemophilia [6,[8][9][10].…”

Section: Discussionmentioning

confidence: 98%

“…In previous reports of extensive hemorrhage from the lingual artery, treatment has included surgical ligation of the ipsilateral external carotid artery or selective angiography and therapeutic embolization [4]. Surgical drainage of the hematoma is generally not indicated [2,11].…”

Section: Discussionmentioning

confidence: 99%

“…In most of the cases managed with observation, rapid deterioration of the airway occurred. According to the clinical situation, orotracheal intubation, nasotracheal intubation, cricothyrotomy or tracheostomy was chosen for airway management [2][3][4][5][6][7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

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Lingual hematoma threatening airway obstruction in a patient on oral anticoagulation with warfarin

Özpolat¹,

Yılmaz²,

Yücel³

2007

Blood Coagulation &Amp; Fibrinolysis

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Warfarin sodium is a commonly used oral anticoagulant agent. It has been well documented that, when effective anticoagulant therapy is employed in treating thromboembolic disease, hemorrhage is a possible complication that can be spontaneous without a history of trauma. The numerous sites of bleeding are the genitourinary and gastrointestinal tracts, the central nervous system, the nose (epistaxis), the penis (priapism), the retroperitoneum, wounds (surgical or traumatic), and subcutaneous tissues during warfarin therapy, but the hemorrhage rarely causes bleeding compromising a patient's airway. We report a case of a spontaneous lingual hematoma that developed during oral anticoagulation therapy. This life-threatening complication of warfarin therapy and its successful management without surgery indicates that observation, close monitoring and reversal of anticoagulation can be a reasonable management option.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Lingual hematoma threatening airway obstruction in a patient on oral anticoagulation with warfarin

Özpolat¹,

Yılmaz²,

Yücel³

2007

Blood Coagulation &Amp; Fibrinolysis

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“…The tongue is a generously perfused structure supplied by the lingual artery and its sublingual, deep lingual and dorsal lingual branches. Extensive haematoma from the lingual artery may occur following traumatic injury 11 12. Haematoma into the tongue has been reported after the use of streptokinase, heparin, tissue-type plasminogen activator administration and in haemophilia 13–15.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous lingual and sublingual haematoma: a rare complication of warfarin use

Büyüklü¹,

Bakırcı

Topal

et al. 2014

BMJ Case Reports

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SUMMARYWarfarin is commonly used for prevention of embolic events. Bleeding is the main side effect of warfarin. Lingual and sublingual haematoma are rare. In the literature, nine cases have so far been reported. We report the case of a 70-year-old Caucasian woman who developed spontaneous lingual and sublingual haematomas while on warfarin therapy. Spontaneous lingual and sublingual haematoma are rare, but can be potentially life-threatening complications as they cause airway obstruction. To the best of our knowledge, this is the first reported case of earliest haematoma after warfarin use. BACKGROUND

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“…15 Lingual artery lesions usually involve the ventral surface of the tongue and the region above the submandibular and sublingual salivary glands. 8,16 Lingual artery injury due to external trauma is quite rare because the lingual artery is mostly protected by the mandible and is therefore less exposed to this kind of injury. 15 Vascular lesions, when they occur, are classified according to signal strength in severe and mild signs.…”

mentioning

confidence: 99%

Life-Threatening Expansive Sublingual Hematoma

Ribeiro¹,

Silva²,

Menezes³

et al. 2014

Journal of Craniofacial Surgery

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Vascular injuries are a constant risk in facial trauma, although bone and soft tissues of the face have provided some protection to the larger blood vessels. However, penetrating injuries usually do not have this type of protection and can damage significant vascular arteries. This article presents a case of a stab wound, which led to airway obstruction arising to a large sublingual hematoma due to lingual artery injury. A healthy 44-year-old man was stabbed in the submandibular region and admitted with an airway obstruction. He was subjected to an emergency tracheotomy and evolved with progressive sublingual edema. Computed tomography (CT) angiography showed a left lingual artery injury with the formation of an expansive hematoma. The CT angiography findings helped to identify the cause of the hematoma and guided the surgery to drain the hematoma after ligation of the lingual artery. The treatment was safely performed as planned and evolved uneventfully. The patient recovered fast and well and presented normal functions 6 months after the treatment. This surgical technique is an effective method for treating such injuries because it can be safely performed when guided by CT angiography. The authors argue that the demand for vascular lesions should be routine in patients who have facial trauma.

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Lingual haematoma leading to upper airway obstruction

Cited by 26 publications

References 10 publications

Lingual hematoma threatening airway obstruction in a patient on oral anticoagulation with warfarin

Lingual hematoma threatening airway obstruction in a patient on oral anticoagulation with warfarin

Spontaneous lingual and sublingual haematoma: a rare complication of warfarin use

Life-Threatening Expansive Sublingual Hematoma

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